Kevin Thomas Wolf, DMD

NPI #1457844094 in Decatur, Illinois

Provider Information

NPI Number: 1457844094
Entity Type: Individual
Name: Kevin Thomas Wolf, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 8, 2018
Last Updated: Dec 28, 2022

Practice Location

Address: 1353 E MOUND RD STE 101
City: Decatur
State: Illinois
ZIP Code: 62526-3600
Phone: (217) 875-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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